This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor:—
Usually Ashley Montagu contributes to progress in whatever field he ventures. However, in his one-page discussion, "On the Distinction Between Disease and Disorder," (JAMA179:826 [March 10] 1962), he has not been particularly enlightening. His distinction between disease (morbid change in tissue due to specific microorganisms) and disorder (disturbance in structure or function from any cause) is an artificial one, and one which defeats the purposes of many medical educators in attempting to develop in medical students a way of looking at disease. This approach regards disease as a deviation from optimal levels of health, regardless of causation. Thus, fractures, appendicitis, tuberculosis, schizophrenia, sickle-cell anemia, etc., are all diseases. The viewpoint also considers disease as a breakdown in the balance between the host and environment, the latter including or not including a specific agent. Another important part of the viewpoint is the so-called spectrum of disease
Roney JG. Disease and Disorder. JAMA. 1962;181(1):63. doi:10.1001/jama.1962.03050270065019
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: